Provider Demographics
NPI:1104530427
Name:AMATO, FELIX JOSEPH (PHD, MSW, LICSW)
Entity type:Individual
Prefix:PROF
First Name:FELIX
Middle Name:JOSEPH
Last Name:AMATO
Suffix:
Gender:M
Credentials:PHD, MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FOREST VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105
Mailing Address - Country:US
Mailing Address - Phone:617-794-9240
Mailing Address - Fax:
Practice Address - Street 1:11 FOREST VIEW DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2579
Practice Address - Country:US
Practice Address - Phone:617-794-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10239821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical